Gut Health Support
A functional, root-cause approach to bloating, IBS, constipation, diarrhea, reflux, and digestive discomfort. Digestive symptoms can affect every part of life how you eat, how you sleep, your mood, your energy, and how confident you feel day to day. Many of the patients I see have been struggling for years, often after being told:
“Everything looks normal on your tests.”
“It’s probably IBS.”
“Just avoid certain foods.”
But symptoms are always telling us something. They’re evidence of physiology that needs support. My role is to help you understand why your symptoms are happening and what we can do to correct them.
Before We Begin: What Needs To Be Ruled Out
A thorough digestive assessment always starts with safety.
If you have not yet ruled out inflammatory bowel conditions such as:
Crohn’s disease
Ulcerative colitis
…these should be evaluated through your family doctor or gastroenterologist first.
If you have ruled out inflammatory disease or if your symptoms don’t fit IBD then we explore functional digestive issues, which are extremely common and highly responsive to treatment. I also support patients with confirmed IBD by helping reduce inflammation triggers, support nutrient absorption, and improve digestive stability between flares.
When IBS Isn’t the Whole Story
When IBS Isn’t the Whole Story
When IBS Isn’t the Whole Story
“IBS” is a symptom label not a diagnosis that explains the root cause.
IBS-type symptoms may include:
Bloating or fullness
Constipation, diarrhea, or alternating patterns
Gas or abdominal pressure
Discomfort after eating
Unpredictable bowels
Food sensitivities
But the real question is: what’s driving these symptoms?
Small Intestinal Bacterial Overgrowth
SIBO occurs when bacteria grow in the small intestine where they shouldn’t be, leading to fermentation, gas production, inflammation, and motility changes.
SIBO can look identical to IBS.
Common symptoms include:
Bloating that worsens through the day
Gas and distention after meals
Constipation or diarrhea
Reflux or upper abdominal pressure
Nausea or early fullness
Increased reactivity to foods
Fatigue and brain fog related to meals
Symptoms worse with stress or irregular eating patterns
Not all IBS is SIBO but research suggests up to 70% of IBS cases involve a SIBO component.
SIBO Breath Testing
Once we review your symptoms, I may recommend a hydrogen/methane SIBO breath test, performed at home through a specialty lab.
Cost: $230
(Pass-through cost only; Dr. Kate does not add any markup; prices as of 2026, subject to change)
The test:
Is completed at home
Uses lactulose to measure fermentation patterns
Reports hydrogen, methane, and hydrogen-sulfide indicators
Helps determine the type of overgrowth and the most effective treatment approach
Testing is optional — some patients choose to treat based on symptoms, while others prefer objective confirmation.
What Our Work Together Looks Like
Whether you have IBS, suspected SIBO, chronic bloating, reflux, constipation, diarrhea, or simply a sense that your digestion isn’t functioning well, I take a structured, physiology-based approach.
SIBO can look identical to IBS.
Your first visit includes:
A comprehensive digestive history
Review of symptom patterns and timing
Evaluation of motility, stomach acid, bile flow, and microbiome factors
Assessment of the gut–brain axis and stress physiology
Review of any past bloodwork or imaging
Determining whether SIBO testing or private bloodwork is appropriate
After your visit:
Within 1–2 business days, you receive a personalized, structured treatment plan that may include:
Dietary strategies tailored to your symptoms
Targeted supplements to reduce bloating, support motility, and improve digestion
A phased approach for SIBO treatment (if appropriate)
Support for stomach acid, bile flow, and pancreatic enzymes
Gut–brain and stress regulation strategies
Clear sequencing so you know what to do first, second, and third
Digital Symptom Tracking
All digestive patients receive access to a secure symptom tracker so we can monitor:
Bloating severity
Bowel movement patterns
Gas, distention, and abdominal pain
Food triggers
Reflux episodes
Sleep, stress, energy, and mood correlations
This allows for more accurate adjustments and faster progress.
Follow-Up Visits
Follow-ups typically occur every 4–6 weeks, depending on the complexity of symptoms and whether you’re completing the SIBO protocol.
Follow-ups are used to:
Review symptom tracking data
Review any breath test or bloodwork results
Adjust supplements and treatments
Support reintroduction phases
Ensure long-term digestive stability
You Don’t Have to Navigate Digestive Issues Alone
Whether you’ve struggled with IBS for years, suspect SIBO, or simply want a clearer understanding of your gut health, we can create a plan that makes sense of your symptoms and supports healing in a structured, realistic way.
Your symptoms are not “just IBS.”
There is a reason and together, we’ll find it.